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| Study on the effect of transvaginal lesion resection of uterus cesarean scar pregnancy and postoperative recovery of patients |
| Baoding Maternal and Child Health Care Hospital, Hebei Province, 071000 |
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Abstract To analyze the effect of transvaginal lesion resection of uterus cesarean scar pregnancy, and to study the postoperative recovery of patients.Methods: 120 patients with cesarean scar pregnancy（CSP) were selected and randomly divided into two groups（60 cases in each group) from March 2018 to January 2020.The patients in the control group were given conventional transabdominal lesion resection and the patients in the observation group were given transvaginal lesion resection.The values of surgery-related indicators, postoperative recovery-related indicators, and the incidence of postoperative complications rate of the patients were compared between the two groups.Results: The operative success rate（98.3%) of the patients in the observation group was significant higher than that（86.7%) of the patients in the control group.The operative time（43.4±17.6min), intraoperative blood loss（54.3±26.1 mL), and hospital stay（5.4±1.3 days) of the patients in the observation group were all significant lower than those of the patients in the control group（P<0.05).The time of menstruation return to normal（44.2±6.2d) and the time of lesion reduction（34.1±5.3d) of the patients in the observation group were all significant shorter than those of the patients in the control group, but the decrease rate of serum chorionic gonadotropin（β-hCG) in 1d, 3d, 5d, and 10d after operation of the patients in the observation group were all significant higher than those of the patients in the control group.The postoperative complications rate（8.3%) of the patients in the observation group was significant lower than that（23.3%) of the patients in the control group（P<0.05).Conclusion: Transvaginal lesion resection of cesarean scar pregnancy for treating the patients with scar pregnancy can optimize the surgical process, increase the operation success rate, shorten the postoperative recovery time, and can effectively reduce the incidence rate of complications.
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